| NPI | 1275562324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN M FREUND President/Owner 573-760-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: MO 040157) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2023-03-07 |